A parlagfű okozta légzőszervi allergiás megbetegedések előfordulása Magyarországon

Abstract

Bevezetés: A szerzők a parlagfűallergiások számának becslésére a 18 év feletti lakosok körében végeztek országos, reprezentatív, kérdőíves felmérést. Célkitűzés: Az elsődleges cél a tünetekkel élő parlagfűallergiások felkutatása, a másodlagos cél a parlagfűallergiások tüneteinek, kivizsgálásának, gyógyszerfogyasztási szokásainak a feltérképezése volt. Módszer: A szerzők az általuk összeállított kérdőívvel 1000 lakost kerestek meg. A kérdőívek kitöltése és vissza küldése elektronikus úton történt. Eredmények: Szénanáthás tünetektől 305 fő szenved. Parlagfűszezonban, augusz tus közepétől október végéig, 218 személy jelzett jellemzően szénanáthás panaszokat. E betegek 40%ának a tünetei több mint 5 éve fennállnak. A parlagfűallergiások 18,3%a asthmás. Tüneteik enyhítésére 24% nem használt semmi lyen gyógyszert vagy gyógyhatású készítményt, harmaduk még sohasem jelent meg allergiás panaszok miatt orvosi vizsgálaton. A parlagfűallergiások az egyéb allergiásokkal összehasonlítva idősebbek, képzettebbek. A kérdőívet ki töltők között kevésbé érvényesül a női dominancia. Következtetések: A parlagfűallergia okozta szénanátha és asthma ma Magyarországon 22%os előfordulást mutató népbetegség. Felismerésére, kezelésére és a parlagfű irtására további erőfeszítésekre van szükség. Orv. Hetil., 2016Hetil., , 157(50), 1989Hetil., -1993. Kulcsszavak: parlagfűallergia, epidemiológia, kérdőíves felmérés Characterisctics of ragweed allergy in HungaryIntroduction: Although the prevalence of ragweed allergy in Europe is still low, it is increasing according to recent statistics. In contrast, in Hungary ragweed is the most common allergen with very high sensitisation in the general Hungarian population. Aim: We investigated the number and clinical characteristics of ragweed allergy in the Hun garian population, as the first comprehensive study to evaluate ragweed allergy in Hungary. Method: One thousand Hungarian adult subjects were screened with a questionnaire for ragweed allergy. People with ragweed allergy an swered further specific questions about their disease history, symptoms and medication use. Results: 305 subjects reported allergy from which 218 patients had symptoms during ragweed pollination suggesting ragweed allergy. 40% of these had symptoms for more than 5 years. Asthma was reported in 18.3%. Around 24% of these patients were undiagnosed; they did not take any medications or visited professionals because of their symptoms. Compared to the nonragweed allergic patients, subjects with ragweed allergy were older and better educated, but the dominance of female gender was less prominent than in the nonragweed group (all p<0.05). Conclusions: Around 22% of the Hungarian population suffers from ragweed allergy. Studies should focus on eradication strategy and improvement of patient care.

Hypersensitivity reactions amongst Hungarian Patients with Hereditary Angioedema due to C1-Inhibitor Deficiency

“…Thirty-one percent of their respondents have had allergic rhinitis, and 22% of the respondents experienced allergic rhinitis during “ragweed season” (between August and September). 24 Our results are comparable with these findings, as we detected a 25.5% prevalence of pollen hypersensitivity. However, in 2019, another survey was conducted in schoolchildren regarding allergic rhinitis in Budapest, the capital of Hungary, where the parent-reported prevalence of allergic rhinitis was found to be 29.3%, while only 9.7% of the children were diagnosed by a physician.…”

“…However, in 2019, another survey was conducted in schoolchildren regarding allergic rhinitis in Budapest, the capital of Hungary, where the parent-reported prevalence of allergic rhinitis was found to be 29.3%, while only 9.7% of the children were diagnosed by a physician. 25 This suggests a higher perceived prevalence if we rely on questionnaires instead of clinical diagnoses, which can be true about our survey and that of Márk et al 24 as well.…”

Characterization of Patients with Allergic Rhinitis to Ragweed Pollen in Two Distinct Regions of Romania

“…A similar rate of association was also reported in previously published data [12,22,24,29]. Surprisingly, Mark et al [30] reported a lower rate of associated asthma in Hungary, but they did not distinguish between mono- or poly-sensitized patients. Patients with multiple sensitizations are exposed to allergens for longer, which may explain a persistent inflammation in both upper and lower airways and a higher rate of asthma association.…”

Applying geostatistical hotspot analyses to a ‘double-invaded’ plant–pest co-occurrence scenario

“…Other European countries with known allergy issues caused by A. artemisiifolia, such as Italy and Hungary (Bonini et al 2016, Márk et al 2016, also resulted in high hotspot densities in the current and future scenarios, although they reported a much lower percentage than the countries with the highest densities in the present study. Indeed, if one observes the spatial model in more detail, a high density of hotspots can be found in a few municipalities (e.g., Milan, Budapest, etc.…”